Any hope for me after losing 40 pounds? 57 with malar crescents, nasal labia folds, marionette lines and tired eyes (Photo)

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Hello, and thank you for your question. When you lose weight, you inevitably lose some fat, including that which naturally occurs in your face and neck. And when that happens, volume in your face and neck decreases, causing lines and folds to become more apparent. Fortunately, these can be addressed non-surgically through injectables. Botox can address lines and wrinkles, while dermal fillers will restore lost volume and enhance your facial contours. The combination of injectables will give you a comprehensive lift without the need for surgery.

I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon or an expert injector, particularly one with extensive experience with injectables. Such experts will have the skills and experience, as well as knowledge of facial aesthetics, to help you achieve the most natural-looking results. During your consultation, your provider will evaluate your skin quality, customize the best treatment plan to ensure the best possible results.

Sorry for poor results. I recommend secondary full open face/neck lift with SMAS plication, redo upper lip lift, either fat grafts or HA fillers to dents in malar pads. Fee $25,000.